cleartau

Methodist Hospitals Southlake

,

Methodist Hospitals Southlake. This page also lists hospital-published cash prices for services and billing-code line items.

Overview

  • CCN150132

Procedures & prices

Hospital-published price lines. These are billing-code items from the hospital transparency file, not a personalized estimate. Cash is the self-pay price; gross is the pre-discount list price.
Price definitions
Cash
— self-pay price (no insurance)
Gross
— chargemaster list price; the pre-discount sticker rate, rarely what anyone pays
Negotiated range
— min–max of rates the hospital negotiated with insurers
Payers
— number of insurers with a published rate (“0” / “—” = none)
Available here:CashGross listInsurer-negotiated rates were not published for these rows.
  • Methylprednisolone Oral
    DrugHCPCS J7509Hospital-published line item
    $10
    cash
    Gross $15
  • Injection, Zidovudine, 10 Mg
    DrugHCPCS J3485Hospital-published line item
    $11
    cash
    Gross $16
  • Factor Ix Complex
    DrugHCPCS J7194Hospital-published line item
    $11
    cash
    Gross $16
  • Reagent Strip/Blood Glucose
    Lab testCPT 82948Hospital-published line item
    $11
    cash
    Gross $16
  • Injection, Aminophyllin, Up To 250 Mg
    DrugHCPCS J0280Hospital-published line item
    $11
    cash
    Gross $16
  • Factor Viii (antihemophilic Factor, Human) Per I.u.
    DrugHCPCS J7190Hospital-published line item
    $12
    cash
    Gross $17
  • Injection, Metoclopramide Hcl, Up To 10 Mg
    DrugHCPCS J2765Hospital-published line item
    $12
    cash
    Gross $17
  • Injection, Clevidipine Butyrate, 1 Mg
    ProcedureHCPCS C9248Hospital-published line item
    $12
    cash
    Gross $18
  • Levalbuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 0.5 Mg
    DrugHCPCS J7614Hospital-published line item
    $13
    cash
    Gross $19
  • Acyclovir Injection
    DrugHCPCS J0133Hospital-published line item
    $13
    cash
    Gross $19
Page 1 · 10 shown